{% extends "layout/base.html" %}
{% block title %} Accueil {% endblock %}

{% block content %}
{% include 'layout/header.html' %}
{% include 'layout/infosBox.html' %}
<div id="register">
	<div id="formRegister">
		<h4>Inscription</h4>
		<form method="post" id="registerForm" action="register.php" class="form-elem">
			<div id="box1">
				<label for="ins_mail">Mail : </label>
				<input type="text" id="ins_mail" name="ins_mail" value="" placeholder="adresse mail" required/>
				<label for="ins_firstname">Prénom : </label>
				<input type="text" id="ins_firstname" name="ins_firstname" value="" placeholder="prénom" required />
				<label for="ins_lastname">Nom : </label>
				<input type="text" id="ins_lastname" name="ins_lastname" value="" placeholder="nom" required />
			</div>
			<div id="box2">
				<label for="ins_birthday">Date de naissance : </label>
				<input type="date" id="ins_birthday" name="ins_birthday" value="" placeholder="1900-01-01 (date de naissance) " required />
				<label for="ins_pwd">Mot de passe : </label>
				<input type="password" id="ins_pwd" name="ins_pwd" value="" placeholder="Mot de passe" required/>
				<label for="ins_check_pwd">Confirmez votre mot de passe : </label>
				<input type="password" id="ins_check_pwd" name="ins_check_pwd" value="" placeholder="Confirmez votre mot de passe" required/>
				<input type="submit" name="register" value="S'inscrire" class="btn btn-primary {{theme.color1}}" />		
			</div>		
			<div class="clr"></div>
		</form>
	</div>
</div>
{% include 'layout/module.html' %}
{% include 'layout/footer.html' %}
{% endblock %}